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Perritt Jamila B - - 2013
The need to interrupt a pregnancy between 24 and 28 weeks of gestation is uncommon and is typically due to fetal demise or lethal anomalies. Nonetheless, treatment options become more limited at these gestations, when access to surgical methods may not be available in many circumstances. The efficacy of misoprostol ...
Melzer-Gartzke Christoph - - 2013
Interhospitaltransfers are an integral part of German health care system and a prerequisite to provide specialist investigation, management and best possible outcome for all patients irrespective of regional differences in medical care. In order to reduce transport associated risks to a minimum, adequate specialized transport teams and modern equipped transport ...
Wöhler Patrick - - 2013
The cerebral fat embolism syndrome has many facets, ranging from delirium to seizures or even brain death. The diagnosis is a real challenge, especially if the pulmonary symptoms are missing, as in the case presented here. After elimination of other causes MRI imaging together with clinical symptoms paths the way ...
Paschen Hans R - - 2013
Poisoning is an uncommon indication for the activation of the emergency medical service. Personal safety of the rescue team especially in situations with unknown toxins has highest priority. The goal of prehospital treatment includes symptom driven standard procedures as well as a specific treatment by antidotes. Hospital admission is strongly ...
Weber Christian F - - 2013
In patients suffering from massive bleeding, transfusion of allogenic blood products (red blood cells, fresh frozen plasma and platelets) and the application of other hemostatic therapy in form of coagulation factor concentrates represent therapeutic approaches to optimize hemostasis and to restore and assure tissue oxygenation. In accordance to the "Helsinki ...
Brenner Thorsten - - 2013
In patients suffering from acute haemorrhages, a prompt, targeted and restrained coagulation management is required. This should be based on a contemporary and sophisticated analysis of the coagulation system. Standard parameters (e.g. prothrombin time, international normalized ratio, plasma levels of fibrinogen, thrombocyte count etc.) seem not to be feasible, since ...
Adam Elisabeth H - - 2013
Point-of-care (POC) devices are increasingly being used at the bedside in perioperative patient management of hemostatic function. Aggregometric methods can be utilized in preoperative screening of thrombocytopathia and are qualified to describe the efficacy of antiplatelet therapy. Published data about the value of point-of-care diagnostic gives partially conflicting results.Current prospective ...
Rhodes Anne E - - 2013
Objective: To describe sex differences in health service use among children and youth who died by suicide. Method: This is a retrospective study of children and youth (aged 10 to 25 years) living in Ontario who died by suicide between April 1, 2003, and December 31, 2007. Coroner records were ...
Rahman Hafizur - - 2013
Objectives: To assess and compare the efficacy and safety of 50 µg oral misoprostol and 25 µg intravaginal misoprostol for induction of labour at term. Methods: This non-blinded, randomized clinical trial included 228 pregnant women at term with obstetric or medical indications for induction of labour. Women either took 50 ...
Nuthalapaty Francis S - - 2013
Objective: To compare wound complications after Caesarean section in the obese patient, following early versus delayed skin staple removal. Methods: We conducted a single-centre, non-inferiority, randomized controlled trial. Following Caesarean section, obese women (BMI ≥ 30 kg/m(2)) with subcutaneous wound depth ≥ 2.0 cm and skin staple closure of a ...
Rossignol Michel - - 2013
Public health authorities have been alarmed by the progressive rise in rates of Caesarean section in Canada, approaching one birth in three in several provinces. We aimed therefore to consider what were preventable obstetrical interventions in women with a low-risk pregnancy and to propose an analytic framework for the reduction ...
Metcalfe Amy - - 2013
Objectives: The recommendation by the Society of Obstetricians and Gynaecologists of Canada that prenatal screening for fetal aneuploidy be offered to all pregnant women is an important change in clinical obstetrics. However, it is unknown how this recommendation might affect the use of other health resources during pregnancy. Methods: Twelve ...
Fransoo Randall - - 2013
Objective: The purpose of this study was to analyze population-based rates of surgical sterilization by sex, income, age group, and location of residence (urban, rural, or remote) among a universally insured population. Methods: The study included all 1.2 million residents of Manitoba. Data from comprehensive hospital and medical visit records ...
Lennox Genevieve - - 2013
Background: Pregnancy in a rudimentary uterine horn is a rare form of ectopic pregnancy with a high risk of rupture. Management usually involves excision of the rudimentary horn. If diagnosed after the first trimester, it has been managed in the past by laparotomy. Case: A primigravid woman was found on ...
Tofari Paul J - - 2013
The Australian Defence Force is reviewing the physical demands of all employment categories in the Australian Army to establish valid and legally defensible assessments. The current assessments, performed in physical training attire, are not specific to job demands. Moreover, the fitness standards decrease based on age and are lower for ...
Mullie Patrick - - 2013
Health-related advantages of physical activity are well documented. The aim was to detect socioeconomic, health, and dietary determinants of physical activity. A cross-sectional design was used. Mailed questionnaires were sent to 5,000 Belgian military men. Dietary patterns were determined using the Mediterranean Diet Score (MDS). For physical activity, the validated ...
Haddock Christopher K - - 2013
Tobacco use is the leading cause of preventable death in the United States and has been shown to significantly harm the combat readiness of military personnel. Unfortunately, recent research showed that cigarettes are sold at substantial discounts in military retail outlets. In fact, the military is the only retailer that ...
Wall Piper L - - 2013
Nerve injuries result from tourniquet pressure. The objective was to determine arterial occlusion and completion pressures with the 3.8-cm-wide windlass Combat Application Tourniquet (CAT) and the 10.4-cm-wide Stretch, Wrap, and Tuck Tourniquet (SWAT-T). Sixteen volunteers self-applied and had tourniquets applied to their thighs and arms (CAT and SWAT-T, random order, ...
Bienek Diane R - - 2013
The usability of a rapid point-of-care ABO-Rh blood typing kit was determined by comparing the performance of individuals with extensive medical training/experience to those with a lesser extent. Subjects were asked to use the blood typing kit with their own blood. These outcomes were compared to that listed in the ...
Reifferscheid Florian - - 2013
The need for interhospital transfer of intensive care and high risk patients is increasing. These transfers are dangerous and challenging. Successful organisation and scheduling includes the appropriate selection of the transport vehicle and the preliminary consultation and cooperation of all paticipants according to predefined rules. This article describes definitions and ...
Lee Trevor Changgun - - 2013
Objective: It remains unclear whether an anxiety diagnosis is associated with children's emotional recognition. We considered children's age and types of primary anxiety diagnosis, which have been neglected, to elucidate this relationship. Methods: Sixty-three referred children with anxiety disorder(s) and 59 volunteer children without anxiety disorder(s), aged between 6 and ...
Rasic Daniel - - 2013
Objective: To examine the directionality of associations between self-reported religious importance or worship attendance and depression among adolescents, and to determine whether social supports or general self-efficacy are mechanisms of observed associations. Method: A cohort (n = 976) of Canadian high school students were surveyed in Grade 10 (2000 to ...
McDermott Colleen D - - 2013
Objectives: Obesity can predispose women to pelvic organ prolapse and can also affect the success of pelvic organ prolapse surgery. The purpose of this study was to compare the postoperative anatomical outcomes following sacral colpopexy (SC) and transvaginal mesh colpopexy in a group of obese women with pelvic organ prolapse. ...
Singh Sukhbir - - 2013
Background: Abnormal uterine bleeding is the direct cause of a significant health care burden for women, their families, and society as a whole. Up to 30% of women will seek medical assistance for this problem during their reproductive years. This guideline replaces previous clinical guidelines on the topic and is ...
Roberts Aaron P J - - 2013
Police officers routinely wear body armor to protect themselves against the threat posed by firearms and edged weapons, yet little is known of the cognitive effects of doing so. Two studies investigated the effects of exercise and body armor on working memory function in healthy volunteers. In study 1, male ...
Knapik Joseph J - - 2013
Previous studies have not reported activities associated with injuries in initial entry training (IET) because these data were seldom available in medical records and not contained in electronic databases. This investigation obtained activities associated with outpatient encounters in IET recorded by primary medical care providers at Fort Leonard Wood, Missouri. ...
Tannheimer Markus - - 2013
The Altitude Performance Test is a measure designed to assess an individual's degree of acclimatization to reduce the risk of acute mountain sickness during high-altitude activities. The aim of this study was to investigate the hypothesis that test results will improve in pre-acclimatized soldiers after several days of further acclimatization. ...
Fitzgerald April S - - 2013
In 1951, a U.S. Presidential Executive Order outlined regulations governing the involuntary separation of women from military service in the event of pregnancy, parenting, or giving live birth while on commissioned service. Subsequent public law and court decisions have changed the rules on female soldier pregnancy and parenting. Initially capped ...
Herzman-Harari Sarit - - 2013
The objective of this study was to assess the impact of a pilot nutrition intervention program on knowledge, attitudes, and behaviors of female combat soldiers in basic training serving in the Israeli army and to determine changes in nutrient intake. Seventy recruits participated in the intervention. Anthropometric measurements and food ...
Trengrove Hugh G - - 2013
Recent experience with the New Zealand Defence Force in supporting the national disaster victim identification operation following destructive earthquakes in Canterbury, New Zealand, highlights the important role military forensic odontology capabilities can provide in supporting a national disaster response. Military dental personnel are well-trained, practiced, and prepared to support short-notice ...
Holland Seth R - - 2013
Determine if a higher level of Army flight medic (AFM) training was associated with improved physiological state on arrival to a combat support hospital (CSH). A retrospective study comparing casualties who were evacuated by two AFM units with only Emergency Medical Technicians-Basic (EMT-Bs) to an Army National Guard unit with ...
Facchini Rose E - - 2013
Integration between traditional and contemporary health care in a host nation can be beneficial to nation- and capacity-building and, subsequently, to the overall health of the society. "Traditional" health care in this sense refers to the indigenous health care system in the host nation, which includes characteristic religious or cultural ...
Hurd Edward S - - 2013
Most U.S. Navy ships operate without embarked physicians, employing Independent Duty Corpsmen to provide primary and emergency medical care to crewmembers. We sought to characterize the burden of chronic disease faced by Independent Duty Corpsmen aboard Navy ships and compare it to that of a similar shore-based population. We conducted ...
Appelqvist-Schmidlechner Kaija - - 2013
Military or alternative civilian service is obligatory for all Finnish male citizens. About 70% of each annual age cohort carry out this service. The rest are given either a permanent or temporary exemption from military or civil service. The aim of this study was to investigate predictors associated with completing ...
Chaves-Carballo Enrique - - 2013
Clara Louise Maass, a 25-year-old American nurse, died of yellow fever on August 24, 1901, following experimental inoculation by infected mosquitoes in Havana, Cuba. The human yellow fever experiments were initially conducted by MAJ Walter Reed, who first used written informed consent and proved the validity of Finlay's mosquito-vector hypothesis. ...
Song Bjorn Kyungsuck - - 2013
This study was designed to test the effect of top-load infusions of increasing doses of two versions of the novel, high molecular weight hemoglobin-based oxygen carrier, OxyVita and OxyVita C solution ([Hb] = 6 g/dL), on mean arterial pressure (MAP), arteriolar diameter, and tissue oxygenation. Experiments were carried out on ...
Hamilton Brady E - - 2013
Teen birth rates fell at least 15% for all but two states during 2007-2011-the most recent period of sustained decline; rates fell 30% or more in seven states. Declines in rates were steepest for Hispanic teenagers, averaging 34% for the United States, followed by declines of 24% for non-Hispanic black ...
Walker Melissa G MG The Invasive Placenta Team, Mount Sinai Hospital, University of Toronto, Toronto - - 2013
To assess the effectiveness of a multidisciplinary team approach to reduce severe maternal morbidity in women with invasive placenta previa. We conducted a prospective study of 33 women with placenta previa and increta-percreta (diagnosed by ultrasound and/or magnetic resonance imaging) delivering at Mount Sinai Hospital, Toronto, following the introduction in ...
Grant Jon E JE Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, USA. - - 2013
Behavioural addictions are characterized by an inability to resist an urge or drive resulting in actions that are harmful to oneself or others. Behavioural addictions share characteristics with substance and alcohol abuse, and in areas such as natural history, phenomenology, and adverse consequences. Behavioural addictions include pathological gambling, kleptomania, pyromania, ...
Leeman Robert F RF Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. - - 2013
This review summarizes neurobiological and genetic findings in behavioural addictions, draws parallels with findings pertaining to substance use disorders, and offers suggestions for future research. Articles concerning brain function, neurotransmitter activity, and family history and (or) genetic findings for behavioural addictions involving gambling, Internet use, video game playing, shopping, kleptomania, ...
Kamarchik Eugene - - 2013
We present full-dimensional, ab initio potential energy and dipole moment surfaces for the F(-)(H2O) complex. The potential surface is a permutationally invariant fit to 16,114 coupled-cluster single double (triple)/aVTZ energies, while the dipole surface is a covariant fit to 11,395 CCSD(T)/aVTZ dipole moments. Vibrational self-consistent field/vibrational configuration interaction (VSCF/VCI) calculations ...
Barbera Nunziata - - 2013
Tramadol is a synthetic opioid, widely used for post-surgical and chronic pain. Lethal overdose due only to tramadol is not common; more often the poisoning is due to tramadol in combination with other substances. Reported is a suicidal case of lethal tramadol poisoning in a 48-year-old woman. Tramadol and its ...
Kavitha Rajagopal - - 2013
Forensic entomological specimens collected from human decedents during crime scene investigations in Malaysia in the past 6 years (2005-2010) are reviewed. A total of 80 cases were recorded and 93 specimens were collected. From these specimens, 10 species of cyclorrphagic flies were identified, consisting of Chrysomya rufifacies (Macquart) -38 specimens (40.86%), ...
Goswami Jayita - - 2013
Unintended transfer of biological material containing DNA is a concern to all laboratories conducting PCR analysis. While forensic laboratories have protocols in place to reduce the possibility of contaminating casework samples, there is no way to detect when a reference sample is mislabeled as evidence, or contaminates a forensic sample. ...
Jayaraman Jayakumar - - 2013
Estimation of age of an individual can be performed by evaluating the pattern of dental development. A dataset for age estimation based on the dental maturity of a French-Canadian population was published over 35 years ago and has become the most widely accepted dataset. The applicability of this dataset has ...
Tozzo P - - 2013
Today, the molecular technique routinely for sex determination in forensics is based the detection of length variations in the X-Y homologous amelogenin gene (AMELX and AMELY). In humans, the amelogenin gene is a single-copy gene located on Xp22.1-Xp22.3 and Yp11.2; the simultaneous detection of the X and Y alleles using ...
De Leeuw Marc - - 2013
A seven-month-old baby was admitted to a hospital emergency department after collapsing suddenly while staying with his nanny. The baby displayed classic symptoms of shaken baby syndrome, including subdural haemorrhage, cytotoxic cerebral oedema, and bilateral retinal hemorrhages. Child protection services were informed, but both the parents and the nanny denied ...
Astrup Birgitte Schmidt - - 2013
A pattern of genital injury that separates trauma seen in sexual assault cases from trauma seen following consensual sexual intercourse has been a matter of debate. This study aimed at clarifying the question by eliminating as many confounders as possible in a prospective, case-control setup. A total of 98 controls ...
Ahmed Altayeb Abdalla - - 2013
The estimation of stature from body parts is one of the most vital parts of personal identification in medico-legal autopsies, especially when mutilated and amputated limbs or body parts are found. The aim of this study was to assess the reliability and accuracy of using lower limb measurements for stature ...
Waterhouse Kathryn - - 2013
This research assesses how weather conditions, such as temperature and rainfall, affect the fragmentation of burnt bone. The recovery of human remains from fatal fire scenes is often hampered by the fragmentary nature of the material, and through understanding how weather factors affect this fragmentation, it may be possible to ...
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